Marom Sofi, Aderka Idan M, Hermesh Haggai, Gilboa-Schechtman Eva
Anxiety Disorders and Behavior Therapy Unit, Outpatient Geha Mental Health Center, Petah Tikva, Israel.
Isr J Psychiatry Relat Sci. 2009;46(4):264-8.
Social phobia (SP, or social anxiety disorder, SAD) is among the most common of all psychiatric disorders. SP typically begins early in life and provokes a great deal of impairment and reduction in quality of life. Despite its high prevalence and associated impact, SP has only recently become the focus of clinical research. We review the current CBT literature on SP, focusing on its main components, such as exposure, safety behaviors, cognitive restructuring, post-event processing, attentional retraining and social skills training. We suggest that although CBT for SP is effective, with effect sizes ranging from .6 to 2.6, much room for improvement remains. We conclude by reviewing some new and promising directions in the development of CBT for SP.
社交恐惧症（SP，或社交焦虑障碍，SAD）是所有精神疾病中最常见的疾病之一。社交恐惧症通常在生命早期就开始出现，并会导致大量的功能损害和生活质量下降。尽管社交恐惧症的患病率很高且有相关影响，但直到最近它才成为临床研究的焦点。我们回顾了当前关于社交恐惧症的认知行为疗法（CBT）文献，重点关注其主要组成部分，如暴露疗法、安全行为、认知重构、事件后处理、注意力再训练和社交技能训练。我们认为，尽管用于社交恐惧症的认知行为疗法是有效的，效应大小在0.6到2.6之间，但仍有很大的改进空间。我们通过回顾社交恐惧症认知行为疗法发展中的一些新的、有前景的方向来结束本文。
